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General NPI Number Information
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NPI Number | 1710610928
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Entity Type | Organization
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Legal Business Name | SALLEE MENTAL HEALTH SERVICES AND CONSULTING
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Dates
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Enumeration Date | 07/05/2022
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Last Update Date | 07/08/2022
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Provider Practice Location Address
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Address Line | 1500 MAIN ST
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City | VAN BUREN
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State | AR
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Zip | 72956-4731
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Country | US
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Telephone | 479-922-5144
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Fax |
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Provider Business Mailing Address
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Address Line | 3327 S 35TH ST
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City | FORT SMITH
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State | AR
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Zip | 72903-4456
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Country | US
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Telephone | 479-883-6362
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Fax |
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Authorized Official
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Title or Position | LICENSED PROFESSIONAL COUNSELOR
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Name | KATHERLEEN SALLEE
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Credential | LPC
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Telephone | 479-883-6362
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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